Individual
ERIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC LPC
Contact information
Practice address
21476 N JOHN WAYNE PKWY, MARICOPA, AZ 85139-8983
(520) 450-8471
Mailing address
618 S MADISON DR, TEMPE, AZ 85281-7248
(520) 316-6068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17756
AZ
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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